51140O 1.O SSCl`Y\� A N C, LOT NO.
NO. STREET
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AL-1 t.TIQ1iF0 BUILDING PERMIT
le o ` CITY OF CUPERTINO
J i' �'�/Al` 1 1968 Sanitary No.
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= U. o Date 196_ Permit No.
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a story, Type n _ Building
to be occupied only as A4 � a _e—�� e�X_ in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
Estimated Value of Improvements, $ c2-4 L c� Fez $ r
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
Owner �- Address
By 'C _5"41j e. 6L� Address
Phone d a 7— 4_6 Approved�� o p,
State License BUILDING INSPECTOR /